Spastic Hemiplegic Cerebral Palsy
Conditions
Keywords
Cerebral palsy, Gait, Weight Bearing, Rehabilitation
Brief summary
The purpose of this study is to observe the behavior of kinematic variables in children with spastic hemiparetic cerebral palsy (SHCP), immediately after treadmill gait training with ankle loading. The children underwent a single treadmill training session with ankle loading. The kinematic parameters were assessed in three phases: before training (PRE); immediately after training (POST); and 5 minutes after the end of training (FOLLOW UP). The investigators hypothesized that the treadmill gait training with additional lower limb loading would be a disturbance capable of modifying the locomotor strategy of children with SHCP, by the increase in kinematic parameters in the swing phase of gait.
Interventions
OTHERSingle treadmill gait training with additional loading
Sponsors
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
Universidade Federal do Rio Grande do Norte
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* Spastic Hemiparetic Cerebral Palsy; * Being able to walk without an assistive device (levels I or II of the Gross Motor Function Classification System - GMFCS); * Not having undergone muscle lengthening surgery within the previous year; * Not having applied botulin toxin to the lower limbs or serial casting in the previous 6 months.
Exclusion criteria
* Inability to understand simple commands to perform the training and evaluation; * Inability to walk on the treadmill with or without load on the lower limbs; * Presence of any physical pain or discomfort during the course of training.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in kinematic gait parameters after treadmill trainning with ankles loading | Immediately after training with ankles loading (POST phase) | Kinematic gait data were captured by Qualisys Track Manager 1.6.0.x - QTM software and exported to Visual3D processing software, to reconstruct the segments and create a biomechanical model. It was carried out in two stages: static and dynamic collection. The dynamic collection was performed while the children walked on the electric treadmill. The primary outcome measure was the following spatiotemporal variables at the POST phase: cadence (steps/min), stride length (m), paretic step length (m), stance time (%), swing time (%) paretic lower limb (PLL), double stance (%), symmetry ratio and stance/swing time ratio. With respect to angular variables, the following parameters was analysed: angular displacement (maximum flexion, maximum extension and range of motion) of the hip and knee were investigated (º). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in kinematic gait parameters after five minutes of rest | After five minutes of rest (FOLLOW UP phase) | Kinematic gait data were captured by Qualisys Track Manager 1.6.0.x - QTM software and exported to Visual3D processing software, to reconstruct the segments and create a biomechanical model. It was carried out in two stages: static and dynamic collection. The dynamic collection was performed while the children walked on the electric treadmill. The secundary outcome measure was the same spatiotemporal and angular variables investigated at the POST phase although in this condition they was analysed at FOLLOW UP phase. |
Countries
Brazil
Outcome results
None listed